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The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
histiocytosis) - Bronchiectasis ... on the basis of HRCT ... findings. ... #Diagnosis #Radiology ... #Pulmonary #CTChest
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
The HRCT demonstrates ... #Clinical #Radiology ... #CXR #UIP #CTChest ... #Pattern #Honeycombing ... TractionBronchiectasis #RadiologyAssistant
HRCT findings in UIP
Honeycombing consisting of multilayered thick-walled cysts.
Architectural distortion with traction bronchiectasis due to fibrosis.
Predominance
HRCT findings in ... UIP Honeycombing ... #CTChest #UIP # ... #Pneumonitis #ILD ... #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
UIP can be suspected ... #Diagnosis #Radiology ... #Pulmonary #CXR ... Pattern #Differential ... #RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
pattern of pulmonary ... #Clinical #Radiology ... #Interstitial # ... Pattern #Honeycombing ... #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
indicates unknown cause ... on HRCT and histology ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... #Findings #RadiologyAssistant
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
UIP with honeycombing ... centrilobular emphysema ... show very similar HRCT ... findings ... #CTChest #UIP #
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
the dominant HR-pattern ... low attenuation (emphysema ... #Pulmonary #HRCT ... #Algorithm #ILD ... #RadiologyAssistant
On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional
with subtle HRCT-findings ... The dominant pattern ... are paraseptal emphysema ... #Clinical #Radiology ... #CTChest #RBILD
Acute interstitial pneumonia (AIP, earlier named Hamman Rich Pneumonitis) is a rare idiopathic lung disease characterized
Acute interstitial ... The histologic pattern ... findings in AIP ... #Clinical #Radiology ... #CTChest #AIP #